Organization
BONIFACE ORTHOPAEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND JOHN BONIFACE M.D. (PRESIDENT)
(330) 758-4399
Entity
Organization
Contact information
Practice address
835 MCKAY CT, SUITE 100, YOUNGSTOWN, OH 44512-5786
(330) 758-4399
(330) 799-8995
Mailing address
835 MCKAY CT, SUITE 100, YOUNGSTOWN, OH 44512-5786
(330) 758-4399
(330) 799-8995
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0170960001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701173
—
OH
05
—
0701182
—
OH
05
—
0929142
—
OH
Enumeration date
10/25/2006
Last updated
08/22/2020
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